The patient has a gallstone blocking the bile duct. Upon assessment of the patient's laboratory studies, the nurse will expect to find a(n):
A) Increased bilirubin level in the blood
B) Decreased cholesterol level
C) Increased BUN level
D) Decreased serum alkaline phosphatase level
Ans: A
Feedback: If the flow of blood is impeded, bilirubin, a pigment derived from the breakdown of red blood cells, does not enter the intestines. As a result, bilirubin levels in the blood increase.
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An adult client with a BMI of 39 who smokes 1 pack of cigarettes per day is admitted to the hospital with chest pressure
After myocardial infarction is ruled out, the client is diagnosed with erosive esophagitis through upper GI endoscopy. The client is now refusing all medications and states "I'm not getting hooked on any pills." What would the nurse recommend for the multidisciplinary collaborative plan? Select all that apply. A) Assess the client's readiness for change in smoking cessation and weight loss. B) Interview the client and spouse for a 24-hour recall of usual food content, intake, and meal times. C) Enlist the client's son to elevate the foot of the client's bed at home 6 inches. D) Offer the client a surgical consult to reduce the necessity of medication. E) Omit the pharmacist notification of the Multidisciplinary Team meeting about the client.
A female preschool patient with a urinary tract infection is scheduled to have a voiding cystourethrogram. What should the nurse include when teaching the patient about this procedure?
A) A headache is a common occurrence after the procedure. B) A local anesthetic will be injected prior to the procedure. C) The patient will be expected to void during the procedure. D) The patient will have to drink three glasses of water during the procedure.
A patient treats chronic kidney failure with peritoneal dialysis. The patient notes the fluid draining out of the abdomen is cloudy and foul smelling. What action by the nurse is best?
a. Assess the patient for other signs of infec-tion. b. Document the findings in the patient's chart. c. Call the rapid response team immediately. d. Request a prescription for an antibiotic.
The client has been started on a treatment regimen that includes fosinopril (Monopril). The nurse realizes that the client has also been diagnosed with renal insufficiency. What is the most accurate nursing intervention?
a. Call the physician; the medication is contraindicated. b. Teach the client that the side effects of the drug will be intensified. c. Call the physician; the dosage will need to be decreased. d. Give the medication as ordered.